SHELBOURNE & ASSOCIATES ORAL AND FACIAL SURGERY
NPI: 1730602319
· CHARLESTON, SC 29403
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 07/25/2017
$270K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
918 |
$93K |
| 2019 |
774 |
$65K |
| 2020 |
546 |
$44K |
| 2021 |
443 |
$36K |
| 2022 |
155 |
$15K |
| 2023 |
29 |
$2K |
| 2024 |
196 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,081 |
400 |
$132K |
| D9222 |
|
390 |
390 |
$37K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
391 |
390 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
828 |
827 |
$31K |
| D7240 |
Removal of impacted tooth - completely bony |
51 |
14 |
$14K |
| D9310 |
|
166 |
166 |
$10K |
| D9239 |
|
73 |
73 |
$5K |
| D9243 |
|
69 |
69 |
$5K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$594.28 |